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Maine rates for HCPCS L6655

Upper extremity addition, standard control cable, extra

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.11 / $66.45 / $66.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.75 / $113.69 / $210.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.49 / $57.54 / $74.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $59.82 / $72.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $43.67 / $59.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.89 / $79.89 / $79.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.55 / $66.45 / $66.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.82 / $49.22 / $113.20